Signs of Parkinson's Disease in Adults
Learn the early and advanced signs of Parkinson's disease in adults, including tremors, stiffness, and movement changes. Understand when to seek medical evaluation.
Written by Dr. J T Hema Pratima
Reviewed by Dr. Dhankecha Mayank Dineshbhai MBBS
Last updated on 30th Jul, 2025
Parkinson’s disease is a progressive neurological disorder that affects movement and can impact daily life. While it is more common in older adults, early signs may appear years before a diagnosis. Recognising these symptoms early can help in managing the condition better.
If you or a loved one are experiencing any of these signs, it’s important to consult a doctor for proper evaluation. Early diagnosis and treatment can improve quality of life.
What is Parkinson’s Disease?
Parkinson’s disease occurs when certain nerve cells (neurons) in the brain gradually break down or die. These neurons produce dopamine, a chemical that helps control movement. When dopamine levels drop, it leads to movement-related symptoms.
While the exact cause is unknown, factors like genetics, environmental toxins, and age may play a role.
Early Signs of Parkinson’s Disease
Parkinson’s symptoms develop slowly and may be subtle at first. Here are some common early signs:
1. Tremors (Shaking)
A slight shaking or tremor in the hands, fingers, or chin while at rest is one of the most noticeable signs.
The tremor may disappear when moving the affected limb.
2. Slowed Movements (Bradykinesia)
Simple tasks like buttoning a shirt, walking, or getting up from a chair may take longer.
Steps may become shorter, and feet may drag while walking.
3. Stiffness in Muscles
Stiffness in arms, legs, or neck that doesn’t go away with movement.
Reduced arm swing while walking.
4. Balance Problems
Difficulty maintaining balance, leading to frequent falls or stumbling.
A stooped or hunched posture may develop.
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5. Changes in Handwriting (Micrographia)
Writing may become smaller and more cramped than usual.
6. Loss of Smell (Hyposmia)
Reduced ability to smell certain foods, like bananas or pickles.
7. Sleep Disturbances
Sudden jerking movements during sleep (REM sleep behaviour disorder).
Restlessness or difficulty turning in bed.
8. Soft or Monotone Speech
Voice may become softer, slower, or more monotonous.
9. Facial Expression Changes (Masked Face)
Reduced blinking and facial expressions, making the face appear emotionless.
10. Constipation and Digestive Issues
Slowed digestion due to nervous system changes.
When to See a Doctor?
If you or a loved one notice any of these symptoms persistently, it’s best to consult a neurologist. While these signs don’t always mean Parkinson’s, early diagnosis can help manage symptoms effectively.
Managing Parkinson’s Disease
While there is no cure, treatments can help control symptoms. Here are some ways to manage the condition:
1. Medications
Levodopa (increases dopamine levels)
Dopamine agonists (mimic dopamine effects)
MAO-B inhibitors (slow dopamine breakdown)
2. Physical Therapy
Exercises to improve balance, flexibility, and strength.
Walking and stretching routines to reduce stiffness.
3. Lifestyle Changes
Exercise regularly (yoga, tai chi, swimming).
Eat a balanced diet (fibre-rich foods to help with constipation).
Stay socially active to boost mental health.
4. Speech Therapy
Helps with voice control and swallowing difficulties.
5. Support Groups
Connecting with others facing Parkinson’s can provide emotional support.
Can Parkinson’s Be Prevented?
There’s no sure way to prevent Parkinson’s, but a healthy lifestyle may lower risk:
Exercise regularly – keeps muscles and brain active.
Eat antioxidant-rich foods (berries, nuts, leafy greens).
Avoid exposure to toxins (pesticides, heavy metals).
When to Seek Help?
If you notice persistent symptoms, don’t ignore them. Early intervention can make a big difference in managing Parkinson’s. You can consult a neurologist on Apollo 24|7 for personalised care and treatment options.
Conclusion
Parkinson’s disease progresses slowly, but recognising early signs can help in managing symptoms better. If you or someone you know is experiencing these symptoms, seek medical advice for proper diagnosis and treatment.
With the right care, many people with Parkinson’s continue to lead fulfilling lives. Stay informed, stay active, and don’t hesitate to reach out for support.
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Consult Top Specialists
Dr. Sandhya Chandel
General Physician/ Internal Medicine Specialist
16 Years • MBBS, MD (Int. Med.), IDCCM
Bilaspur
Apollo Hospitals Seepat Road, Bilaspur
(100+ Patients)
Dr Syed Mateen Pasha
General Physician
2 Years • MBBS
Bengaluru
PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru
Dr. Ashita Kuruvilla
General Practitioner
6 Years • MBBS
Kolkata
KVC CLINIC, Kolkata
Dr. Anand Ravi
General Physician
2 Years • MBBS
Bengaluru
PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru
Dr Aakash Andgi
General Physician/ Internal Medicine Specialist
9 Years • MBBS MD
Bengaluru
Apollo Clinic, JP nagar, Bengaluru
